Introduction:
Cocaine use among women has steadily increased, rising to
approximately 30% of users in the United States. As researchers pay more
attention to hormonal effects on drug abuse, it is becoming apparent that men
and women react differently to cocaine. Overall, women are more vulnerable to
some aspects of cocaine abuse, such as being more sensitive to the addictive
properties of cocaine, experiencing more nervousness after intermittentadministration of cocaine, taking longer to feel its subjective effects,
reporting less euphoria, and having more severe cravings in response to
cocaine-associated cues . Women also increase their rate of cocaine
consumption more rapidly than do men, and once addicted it is more difficult
for them to quit . Likewise, after abstinence, women use cocaine for longer
periods than do men .
Similar to humans, female rodents also show exaggerated and
more robust psychomotor responses to cocaine than do males . Females also more
quickly develop cocaine-induced conditioned place preference (CPP) with lower
doses and more readily acquire cocaine self-administration . Taken
together, human and animal studies suggest that sex-specific differences exist
at all stages of cocaine abuse including induction maintenance, and relapse.
Sex differences in the mesocorticolimbic dopamine (DA)system- -a regulator of cocaine’s psychomotor and rewarding effects have been
demonstrated . As recently reviewed by Becker and Hu, there are sex
differences in the levels of DA receptors in the striatum, in the efficacy of
DA antagonists and agonists to block DA receptors, and in cocaine-induced
accumbal DA release/reuptake. The sexually dimorphic pattern in DA system
activation after cocaine treatment is postulated to be correlated with sex
differences in cocaine-induced DA mediated intracellular responses.
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